Journal of the American Academy of Orthopaedic Surgeons · 2012 · 39 citations · 42 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryAdult ReconstructionBone GraftingOrthopedicsLimb ReconstructionLimb SalvageLimb Salvage SurgeryLower Extremity ReconstructionLower Extremity RehabilitationLower Limb RehabilitationBelow-knee AmputationFunctional Outcome EvaluationFunctional Outcome MeasurementIntercalary ReconstructionLimb Salvage CarePatient Satisfaction AnalysisPatient Satisfaction EvaluationPostoperative Limb Salvage
Rotationplasty is a reconstructive, limb-sparing option for management of lower extremity bone deficiency. This technique involves an intercalary resection, followed by 180° rotation of the distal limb to allow the ankle to function as a knee joint when it is fitted with a modified below-knee prosthesis. Gait analysis and functional outcome studies have reported favorable results with rotationplasty compared with those of above-knee amputation. Moreover, patient satisfaction with rotationplasty is higher than with other limb salvage procedures. The primary drawback of this procedure is patient acceptance of the limb's appearance.
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